Provider Demographics
NPI:1538249131
Name:HAMILTON, SUSAN BRESSI (AUD)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:BRESSI
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:70 GLEN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2855
Mailing Address - Country:US
Mailing Address - Phone:516-674-9300
Mailing Address - Fax:516-674-9345
Practice Address - Street 1:70 GLEN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2790
Practice Address - Country:US
Practice Address - Phone:516-674-9300
Practice Address - Fax:516-674-9345
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY914237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01119199Medicaid
NY01119199Medicaid
NYM01631Medicare PIN